Hepatic Hemodynamics and Elevation of Liver Stiffness as Possible Predictive Markers of Late-onset Hepatic Failure
A 52-year-old Japanese woman admitted to our hospital for the treatment of liver dysfunction due to an undetermined cause developed disorientation on the 58th hospital day and was diagnosed with late-onset liver failure. Abdominal ultrasound examinations were performed several times from the admissi...
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Veröffentlicht in: | Internal Medicine 2016, Vol.55(9), pp.1091-1095 |
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creator | Kakisaka, Keisuke Kuroda, Hidekatsu Abe, Tamami Suzuki, Yuji Yoshida, Yuichi Kataoka, Kojiro Miyamoto, Yasuhiro Ishida, Kazuyuki Takikawa, Yasuhiro |
description | A 52-year-old Japanese woman admitted to our hospital for the treatment of liver dysfunction due to an undetermined cause developed disorientation on the 58th hospital day and was diagnosed with late-onset liver failure. Abdominal ultrasound examinations were performed several times from the admission. Before the disorientation appeared, the results of the examinations revealed that the portal flow decreased, after which the hepatic arterial flow increased and the degree of liver stiffness became elevated. Although the pathophysiology of these changes remains unclear, hemodynamic changes and elevation of liver stiffness might be predictive markers of severe liver tissue damage. |
doi_str_mv | 10.2169/internalmedicine.55.5945 |
format | Article |
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Abdominal ultrasound examinations were performed several times from the admission. Before the disorientation appeared, the results of the examinations revealed that the portal flow decreased, after which the hepatic arterial flow increased and the degree of liver stiffness became elevated. Although the pathophysiology of these changes remains unclear, hemodynamic changes and elevation of liver stiffness might be predictive markers of severe liver tissue damage.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.55.5945</identifier><identifier>PMID: 27150860</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Blood Flow Velocity ; Elasticity Imaging Techniques ; Female ; Hemodynamics ; Hepatic Artery - diagnostic imaging ; Hepatic Artery - pathology ; Humans ; Liver - diagnostic imaging ; Liver - pathology ; Liver Circulation ; Liver Failure - diagnostic imaging ; Liver Failure - physiopathology ; Liver Failure - surgery ; Liver Transplantation ; Living Donors ; LOHF ; Middle Aged ; Organ Size ; resistance index ; Treatment Outcome</subject><ispartof>Internal Medicine, 2016, Vol.55(9), pp.1091-1095</ispartof><rights>2016 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c627t-79959e09993fd5879eec0ac781a9b308a6fcce677f7bf0d552f5195818896c033</citedby><cites>FETCH-LOGICAL-c627t-79959e09993fd5879eec0ac781a9b308a6fcce677f7bf0d552f5195818896c033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27150860$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kakisaka, Keisuke</creatorcontrib><creatorcontrib>Kuroda, Hidekatsu</creatorcontrib><creatorcontrib>Abe, Tamami</creatorcontrib><creatorcontrib>Suzuki, Yuji</creatorcontrib><creatorcontrib>Yoshida, Yuichi</creatorcontrib><creatorcontrib>Kataoka, Kojiro</creatorcontrib><creatorcontrib>Miyamoto, Yasuhiro</creatorcontrib><creatorcontrib>Ishida, Kazuyuki</creatorcontrib><creatorcontrib>Takikawa, Yasuhiro</creatorcontrib><title>Hepatic Hemodynamics and Elevation of Liver Stiffness as Possible Predictive Markers of Late-onset Hepatic Failure</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 52-year-old Japanese woman admitted to our hospital for the treatment of liver dysfunction due to an undetermined cause developed disorientation on the 58th hospital day and was diagnosed with late-onset liver failure. Abdominal ultrasound examinations were performed several times from the admission. Before the disorientation appeared, the results of the examinations revealed that the portal flow decreased, after which the hepatic arterial flow increased and the degree of liver stiffness became elevated. Although the pathophysiology of these changes remains unclear, hemodynamic changes and elevation of liver stiffness might be predictive markers of severe liver tissue damage.</description><subject>Blood Flow Velocity</subject><subject>Elasticity Imaging Techniques</subject><subject>Female</subject><subject>Hemodynamics</subject><subject>Hepatic Artery - diagnostic imaging</subject><subject>Hepatic Artery - pathology</subject><subject>Humans</subject><subject>Liver - diagnostic imaging</subject><subject>Liver - pathology</subject><subject>Liver Circulation</subject><subject>Liver Failure - diagnostic imaging</subject><subject>Liver Failure - physiopathology</subject><subject>Liver Failure - surgery</subject><subject>Liver Transplantation</subject><subject>Living Donors</subject><subject>LOHF</subject><subject>Middle Aged</subject><subject>Organ Size</subject><subject>resistance index</subject><subject>Treatment Outcome</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkEtPAyEUhYnR2Pr4C4alm6kwUwZYmqZak_pI1DWhzEWpM0wFauK_l1rtwriBxf3OOfcehDAlo5LW8sL5BMHrtoPGGedhxNiIyTHbQ0NajWXBy4rtoyGRVBRlfgboKMYlIZXgsjxEg5JTRkRNhijMYKWTM3gGXd98et05E7H2DZ628JEnvce9xXP3AQE_Jmeth5iBiB_6GN2iBfwQNlukTOBbHd4gxG-FTlD0PkLCvxFX2rXrACfowOo2wunPf4yer6ZPk1kxv7--mVzOC1OXPBVcSiaBSCkr27C8OIAh2nBBtVxUROjaGgM155YvLGkYKy2jkgkqhKwNqapjdL71XYX-fQ0xqc5FA22rPfTrqCgXfCzImPCMii1qQr4qgFWr4DodPhUlatO4-tu4YkxtGs_Ss5-U9SIPd8LfijNwtwWWMekX2AE65E5a-NdZfttvE3agedVBga--AHYMoBo</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Kakisaka, Keisuke</creator><creator>Kuroda, Hidekatsu</creator><creator>Abe, Tamami</creator><creator>Suzuki, Yuji</creator><creator>Yoshida, Yuichi</creator><creator>Kataoka, Kojiro</creator><creator>Miyamoto, Yasuhiro</creator><creator>Ishida, Kazuyuki</creator><creator>Takikawa, Yasuhiro</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160101</creationdate><title>Hepatic Hemodynamics and Elevation of Liver Stiffness as Possible Predictive Markers of Late-onset Hepatic Failure</title><author>Kakisaka, Keisuke ; Kuroda, Hidekatsu ; Abe, Tamami ; Suzuki, Yuji ; Yoshida, Yuichi ; Kataoka, Kojiro ; Miyamoto, Yasuhiro ; Ishida, Kazuyuki ; Takikawa, Yasuhiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c627t-79959e09993fd5879eec0ac781a9b308a6fcce677f7bf0d552f5195818896c033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Blood Flow Velocity</topic><topic>Elasticity Imaging Techniques</topic><topic>Female</topic><topic>Hemodynamics</topic><topic>Hepatic Artery - diagnostic imaging</topic><topic>Hepatic Artery - pathology</topic><topic>Humans</topic><topic>Liver - diagnostic imaging</topic><topic>Liver - pathology</topic><topic>Liver Circulation</topic><topic>Liver Failure - diagnostic imaging</topic><topic>Liver Failure - physiopathology</topic><topic>Liver Failure - surgery</topic><topic>Liver Transplantation</topic><topic>Living Donors</topic><topic>LOHF</topic><topic>Middle Aged</topic><topic>Organ Size</topic><topic>resistance index</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kakisaka, Keisuke</creatorcontrib><creatorcontrib>Kuroda, Hidekatsu</creatorcontrib><creatorcontrib>Abe, Tamami</creatorcontrib><creatorcontrib>Suzuki, Yuji</creatorcontrib><creatorcontrib>Yoshida, Yuichi</creatorcontrib><creatorcontrib>Kataoka, Kojiro</creatorcontrib><creatorcontrib>Miyamoto, Yasuhiro</creatorcontrib><creatorcontrib>Ishida, Kazuyuki</creatorcontrib><creatorcontrib>Takikawa, Yasuhiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kakisaka, Keisuke</au><au>Kuroda, Hidekatsu</au><au>Abe, Tamami</au><au>Suzuki, Yuji</au><au>Yoshida, Yuichi</au><au>Kataoka, Kojiro</au><au>Miyamoto, Yasuhiro</au><au>Ishida, Kazuyuki</au><au>Takikawa, Yasuhiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hepatic Hemodynamics and Elevation of Liver Stiffness as Possible Predictive Markers of Late-onset Hepatic Failure</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>55</volume><issue>9</issue><spage>1091</spage><epage>1095</epage><pages>1091-1095</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 52-year-old Japanese woman admitted to our hospital for the treatment of liver dysfunction due to an undetermined cause developed disorientation on the 58th hospital day and was diagnosed with late-onset liver failure. Abdominal ultrasound examinations were performed several times from the admission. Before the disorientation appeared, the results of the examinations revealed that the portal flow decreased, after which the hepatic arterial flow increased and the degree of liver stiffness became elevated. Although the pathophysiology of these changes remains unclear, hemodynamic changes and elevation of liver stiffness might be predictive markers of severe liver tissue damage.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>27150860</pmid><doi>10.2169/internalmedicine.55.5945</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Blood Flow Velocity Elasticity Imaging Techniques Female Hemodynamics Hepatic Artery - diagnostic imaging Hepatic Artery - pathology Humans Liver - diagnostic imaging Liver - pathology Liver Circulation Liver Failure - diagnostic imaging Liver Failure - physiopathology Liver Failure - surgery Liver Transplantation Living Donors LOHF Middle Aged Organ Size resistance index Treatment Outcome |
title | Hepatic Hemodynamics and Elevation of Liver Stiffness as Possible Predictive Markers of Late-onset Hepatic Failure |
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